Outcomes of off-pump coronary artery bypass surgery

الملخص EN

Background : Off-pump coronary artery bypass surgery is gaining more popularity worldwide.

The theoretical and proven disadvantages of the use of the cardiopulmonary bypass for multi-vessel coronary artery bypass grafting has prompted many cardiac surgeons in the world to convert to Off-pump coronary artery bypass.

Objective : To assess the early outcomes of patients who underwent off-pump coronary artery bypass surgery.

Setting : Queen Alia Heart Institute.

Design : Retrospective study.

Method : Seventy-two patients, 54 were males and 18 were females, they underwent Off-pump coronary artery bypass grafting from January 2006 to December 2008.

The age ranged 42-79 year, the mean age was 58.5 years.

Analysis of in-hospital mortality, perioperative and postoperative courses and outcomes were performed.

Result : Average number of grafts per patient was 2.6, 54 (75 %), patients were extubated within the first 6 hours after surgery and 20 (27.78 %) patients received blood transfusion.

Seven (9.72 %) patients had atrial fibrillation, 2 (2.78 %) patients had Q wave myocardial infarction, one of them died.

One (1.39 %) patient had stroke, 2 (2.78 %) patients had acute renal impairment, and one (1.39 %) patient had deep sternal wound infection.

Conclusion : Off-pump coronary artery bypass grafting seems to be a safe procedure and have reasonable early outcomes.